Female urethral reconstruction: dorsal buccal mucosa graft onlay

Simple item page
dc.contributor.authorGomez, Reynaldo G.
dc.contributor.authorSegura, Fernando J.
dc.contributor.authorSaavedra, Alvaro
dc.contributor.authorCampos, Rodrigo A.
dc.date.accessioned2025-01-23T19:46:57Z
dc.date.available2025-01-23T19:46:57Z
dc.date.issued2020
dc.description.abstractPurpose Female urethral stricture (FUS) is an infrequent entity, but may cause significant morbidity. Despite a rising interest in recent years, there is still scarce published information. In this article, we review FUS with a special attention to the use of dorsal buccal mucosa grafts (DBMG). Methods A literature search was conducted summarizing information about etiology, anatomy, diagnosis, and management. A detailed description of our technique for DBMG urethroplasty is given, with a summary report of our experience and results. Results FUS accounts for about 1% of all women consulting for lower urinary tract symptoms (LUTS). Diagnosis is suspected in front of persistent LUTS suggestive of obstruction. Confirmatory tests are uroflowmetry, endoscopy, and urethrography; true anatomic strictures must be differentiated from functional or physiological obstructions. Initial management may include dilations, but recurrence is frequent. On the contrary, reconstructive surgery is highly efficient, with overall curative rates around 90%. For reconstruction, DBMG has gained popularity, because it would maintain intact the ventro-lateral urethral supporting structures, important for continence. The pathology of female strictures is unknown and neither the pre nor the intraoperative assessment allows determining the precise location and extent or the urethral damage; therefore, we advise extensive grafting of the entire urethra. Collected success of DBMG is 86% at a mean follow-up of 21 months. Morbidity is very low and de novo stress incontinence has not been reported. Conclusions Because of its many advantages, DMBG currently represents a prime choice for FUS reconstruction.
dc.fuente.origenWOS
dc.identifier.doi10.1007/s00345-019-02958-6
dc.identifier.eissn1433-8726
dc.identifier.issn0724-4983
dc.identifier.urihttps://doi.org/10.1007/s00345-019-02958-6
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/100334
dc.identifier.wosidWOS:000595751900007
dc.issue.numero12
dc.language.isoen
dc.pagina.final3054
dc.pagina.inicio3047
dc.revistaWorld journal of urology
dc.rightsacceso restringido
dc.subjectFemale urethroplasty
dc.subjectFemale urethral stricture
dc.subjectBuccal mucosal graft
dc.subjectDorsal urethral onlay
dc.subjectReconstructive urology
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleFemale urethral reconstruction: dorsal buccal mucosa graft onlay
dc.typeartículo
dc.volumen38
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
Files
Collections
Artículos de revistas